EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/1215009
I MARCH 2020 | EYEWORLD | 71 "I find when I'm working through the NGENUITY, I'm slouching because I'm sitting back like I'm in an easy chair. I'm not sure how good that is either. It's more comfortable, but it's not the correct posture to be in when you're operating. It is still better for you to maintain a good erect posture to facilitate the correct use of your arms and hands when you're operat- ing," Dr. Rubenstein said. Value of 3D depends on the procedure Dr. Rubenstein said he sees more value for this technology as you work deeper in the eye. The 3D visualization while peeling fine membranes off the retina or performing vitrectomies, for example, "gives you great depth of focus, more than with a conventional microscope," he said. be useful applications for this technology," Dr. Wong said. "It gives you the potential opportunity to have all the applications you now visualize on separate screens alternatively project on one big screen. They haven't totally coordinated that … but I think that this is what industry will end up creating," Dr. Rubenstein said. The doctors are split on the ergonomic benefits of this "heads-up" surgery. Dr. Rie- mann said 3D microscopy probably added 10 years to his surgical career by reducing his back pain. Dr. Rubenstein, in contrast, thinks the ergonomic benefit of 3D microscopy is "over- blown." He said the visualization is projected somewhat off to the side, requiring the surgeon to turn their head or body slightly to visualize the big screen. He also has noticed he adapts a more relaxed posture when he uses the heads- up system. Dr. Rubenstein operates with the NGENUITY Visualization System. Everyone in the OR wearing 3D glasses sees the same view as the surgeon using 3D digital microscopy. Source: Jonathan Rubenstein, MD continued on page 72